NPI | 1134898117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH LICDC.162339) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181870) |
101YM0800X Counselor, Mental Health (Licence: OH C.2204582) | |
101YM0800X Counselor, Mental Health (Licence: OH C.2103320-TRNE) | |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-10-30 |